The disclosure provides a fixation device for internal fixation of an osteotomy below the tibial tuberosity. The fixation plate including a top-end portion including three pinholes, three screw holes, and a first combi hole; a bottom-end portion including a second combi hole, two screw holes, and one pinhole; and a connection portion connecting the top-end portion to the bottom-end portion. The top-end portion is capable of fixating the portion of the tibia above a cut of the osteotomy, and the bottom-end portion is capable of fixating the portion of the tibia below the cut.
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1. A fixation plate for internal fixation of an osteotomy below the tuberosity of a tibia, comprising an elongated body having a top end and a bottom end opposing the top end along the length direction of the fixation plate,
wherein the elongated body, viewed from the top end to the bottom end, comprises:
a top-end portion comprising a first pinhole, a second pinhole, a third pinhole, a first screw hole, a second screw hole, a third screw hole, and a first combi hole;
a bottom-end portion comprising a second combi hole, a first screw hole, a pinhole, and a second screw hole; and
a connection portion connecting the top-end portion to the bottom-end portion,
wherein the first, second, and third screw holes of the top-end portion are arranged in an inverted oblique triangle configuration where the third screw hole of the top-end portion is disposed below the first and second screw holes of the top-end portion,
the first, second, and third pinhole of the top-end portion alternate with the first, second, and third screw hole of the top-end portion,
the first combi hole is disposed below the first pinhole, the second pinhole, the third pinhole, the first screw hole, the second screw hole, and the third screw hole of the top-end portion,
centers of the first, second, and third pinholes of the top-end portion are disposed outside of a triangle formed by the centers of the first, second, and third screw holes of the top-end portion,
the second combi hole is disposed above the first screw hole, the pinhole, and the second screw hole of the bottom-end portion, and
the fixation plate has a length in a range of 111.0 to 112.0 mm, the top-end portion has a width in a range of 27.3 mm to 27.7 mm, and the bottom-end portion has a width in a range of 17.5 mm to 17.7 mm.
2. The fixation plate of
3. The fixation plate of
4. The fixation plate of
5. The fixation plate of
6. The fixation plate of
7. The fixation plate of
8. The fixation plate of
9. The fixation plate of
12. The fixation plate of
13. The fixation plate of
14. The fixation plate of
the second screw hole of the bottom-end portion is a double lead conical thread hole having a pitch of 0.5 mm, a thread thickness of 0.425 mm, and a cone degree of 19.8° to 20.2°.
15. The fixation plate of
the second screw hole of the bottom-end portion has an angle of 59.8° to 60.2° relative to the center of the bottom end.
16. The fixation plate of
17. A tibial osteotomy below the tibial tuberosity, comprising;
cutting a tibia at a site below the tibial tuberosity to obtain a cut tibia; and
fixating the cut tibia with the fixation plate of
18. The tibial osteotomy below the tibial tuberosity of
wherein the screws at the second combi hole, the first screw hole, and the second screw hole of the bottom-end portion are parallel to each other, and are angled 7.36° relative to a line that is perpendicular to a main plane of the fixation plate,
the screw at the first screw hole of the top-end portion is angled 6.4° relative to the line, and
the screw at the first combi hole is angled 32.45° relative to the line.
19. The tibial osteotomy below the tibial tuberosity of
wherein an angle between the screw at the first combi hole and the screw at the second screw hole of the top-end portion is 20.912°, an angle between the screw at the first combi hole and the screw at the first screw hole is 1.345°, an angle between the screw at the first combi hole and the second screw hole of the top-end portion is 1.802°.
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The disclosure relates to the internal fixation of a bone in an osteotomy. Specifically, the disclosure relates to a fixation plate for a tibial osteotomy below the tibial tuberosity.
The osteotomy is a surgical operation on the bone and is usually performed to fix abnormalities or conditions in different bones and joints, for example, knee, hip, elbow, spine, big toe, etc. Examples of the abnormalities or conditions can include but are not limited to, for example, hallux valgus, coxa vara, genu valgum, and genu varum. The osteotomy can be performed to repair a damaged joint, realign a deformed bone, relieve arthritis pain, straighten a bone healed crookedly following a fracture, etc.
A conventional tibial osteotomy of the knee involves making a cut at the tibia above its tibial tuberosity and is referred to as a high tibial osteotomy (HTO). There are numerous types of HTO, and the most commonly performed techniques of HTO are opening or closing wedge osteotomy. Once the calculation of the correction degree has been made, the osteotomy can be performed using an oscillating saw or osteotome. For open wedge osteotomy, an internal fixation plate is then fixed over the opening wedge once the desired degree of correction is achieved. A bone graft (synthetic or natural) may optionally be inserted at the open wedge to enhance bone growth and provide further stability.
Embodiments herein provide a fixation plate for internal fixation of an osteotomy below the tuberosity of a tibia. The fixation plate includes an elongated body having a top end and a bottom end opposing the top end along a length direction of the fixation plate. The elongated body, viewed from the top end to the bottom end, includes a top-end portion, a connection portion, and a bottom-end portion.
In an embodiment, the top-end portion includes pinholes, screw holes, and one or more Combi holes. A Combi hole is a combination of two or more overlapping holes. In an embodiment, the top-end portion includes three pinholes, three screw holes, and a first Combi hole. Each of the pinholes of the top-end portion is dispersed between two of the three screw holes of the top-end portion. In an embodiment, the three pinholes and the three screw holes are arranged alternately. The three screw holes are arranged in an inverted triangle configuration with two of the pinholes above the third. The first Combi hole is disposed below the three pinholes and the three screw holes of the top-end portion.
In an embodiment, the pinholes of the top-end portion are disposed outside of a triangle formed by connecting the centers of the screw holes of the top-end portion. In an embodiment, the pinholes are arranged in a non-inverted triangle. In an embodiment, each pinhole is non-collinear between two of the three screw holes.
The connection portion connects the top-end portion to the bottom-end portion. In an embodiment, the connection portion is not provided with a through-hole.
The bottom-end portion can include one or more Combi holes, two or more screw holes, and one or more pinholes. In an embodiment, the bottom-end portion includes a second Combi hole, two screw holes, and one pinhole. The second Combi hole is disposed above the two screw holes and the pinhole, view from the top end to the bottom end.
In an embodiment, the pinhole of the bottom-end portion is disposed between the two screw holes of the bottom-end portion.
In an embodiment, at least one of the two screw holes of the bottom-end portion is a conical screw hole.
In an embodiment, one of the two screw holes of the bottom-end portion is closer to the distal end of the bottom-end portion than the other and is a double lead conical thread hole having a pitch of at or about 0.5 mm, a wall thickness of at or about 0.425 mm, a cone degree of at or about 20.0°±0.2°, and at or about 60.0°±0.2 relative to the center of the bottom-end.
In an embodiment, centers of the first Combi hole, the second Combi hole, the two screw holes of the bottom-end portion, and the pinhole of the bottom-end portion are in alignment with the mid-width line of the bottom-end portion. In an embodiment, centers of the first Combi hole, the second Combi hole, the two screw holes of the bottom-end portion, and the pinhole of the bottom-end portion are not in alignment.
In an embodiment, each of the first and second Combi holes includes one threaded hole section and one DCP (dynamic compression plate) hole section.
In an embodiment, the first Combi hole is identical to the second Combi hole. In an embodiment, the first and the second Combi holes are oriented in a head to head manner.
In an embodiment, the top-end portion is bendable or twistable or bent or twisted to fit the three-dimensional contour of the portion of the tibia above the osteotomy.
In an embodiment, the fixation plate is at or about 111.5±0.5 mm long, the top-end portion is at or about 27.5±0.20 wide, and the bottom-end portion is at or about 17.5±0.20 wide.
In an embodiment, the bottom-end portion has a strip shape. In an embodiment, the bottom-end portion has a semicircular distal end.
In an embodiment, the first and the second Combi holes each are configured so that screws they receive do not go in or through the osteotomy.
In an embodiment, the tibial osteotomy below the tibial tuberosity includes cutting a tibia at a site below the tibial tuberosity to obtain a cut tibia; and fixating the cut tibia with the fixation plate.
In an embodiment, the tibial osteotomy below the tibial tuberosity further includes realigning the cut tibia.
In an embodiment, cutting a tibia at a site below the tibial tuberosity includes prying the cut of the tibia open to obtain a wedge-shaped opening.
In an embodiment, fixating the cut tibia with a fixation plate includes installing screws into the screw holes of the fixation plate.
In an embodiment, the screws installed in the bottom-end portion 300c are generally parallel to each other, and are angled at or about 7.36° relative to line Y that is perpendicular to the main plane of the fixation plate. In an embodiment, the screw at the first screw hole of the top-end portion is angled at or about 6.4° relative to line Y. In an embodiment, the screw at the first Combi hole is angled at or about 32.45° relative to line Y. In an embodiment, the angle between the screw at the first Combi hole and the screw at the third screw hole of the top-end portion is at or about 20.912°. In an embodiment, the angle between the screw at the first Combi hole and the screw at the first screw hole of the top-end portion is at or about 1.345°. In an embodiment, the angle between the screw at the Combi hole and the screw at the second screw hole of the top-end portion is at or about 1.802°.
References are made to the accompanying drawings that form a part of this disclosure, and which illustrate embodiments in which the devices, systems, and methods described in this specification can be practiced.
Like reference numbers represent like parts throughout.
The disclosure relates to the internal fixation of a bone. Specifically, the disclosure relates to an osteotomy below the tibial tuberosity. More specifically, the disclosure relates to a fixation plate for a tibial osteotomy below the tibial tuberosity and a method of using the fixation plate.
The term “a”, “an”, or “the” cover both the singular and the plural reference, unless the context clearly dictates otherwise. The terms “comprising”, “having”, “including”, and “containing” are open-ended terms, which means “including but not limited to”, unless otherwise indicated.
Certain values herein are preceded by the term “about”. The term “about” herein provides literal support for the exact value that it precedes, as well as a range that is near to or approximately the value that the term precedes. In an embodiment, the range is from 70% to 130% of the exact value that the term “about” precedes. In an embodiment, the range is from 80% to 120% of the exact value that the term “about” precedes. In an embodiment, the range is from 90% to 110% of the exact value that the term “about” precedes. In an embodiment, the range is from 99% to 101% of the exact value that the term “about” precedes. For example, if the exact value is 100, the range from 70% to 130% of the exact value is 70 to 130.
A tibial osteotomy is a surgical operation for adjusting or changing the alignment of the tibia to correct abnormalities caused by, for example, birth defects, diseases, arthritis, or the like.
A tibial osteotomy below the tibial tuberosity is a surgical operation that involves cutting a tibia at a site below the tibial tuberosity and then realigning and fixating the cut tibia with a fixation plate.
The disclosure herein provides a fixation plate suitable for the tibial osteotomy below the tibial tuberosity. The fixation plate is suitable for realigning and fixating the two portions of bones at both sides of the cut made below the tibial tuberosity.
The fixation plate herein exhibits advantages over those for the conventional high tibia osteotomy in surgical operation and proper fixation. For example, the fixation plate herein has less chance of causing cancellous bone collapsing and can minimize tibial plateau fracture. The fixation plate herein can also minimize neurovascular bundle injury and disruption of the periosteum and reduces stiffness in the knee after the surgery.
Referring to
In an embodiment, the tibial osteotomy below the tibial tuberosity involves a bone grafting. In an embodiment, an implant 23 can be inserted into the cut 20 from the osteotomy opening 22 for carrying out an angular correction. In an embodiment, the implant 23 is an artificial bone or the like. The shape of the implant 23 can be adapted to fit the contour of the cut 20. In an embodiment, the implant is trapezoidal or the like. In an embodiment, the implant is wedge-shaped or the like.
The cut 20 can be made below the tibial tuberosity 12 and above the distal end 17 of the tibia 10. In an embodiment, the cut 20 resides slightly below the tibial tuberosity 12. In an embodiment, the cut 20 is made in the tibial shaft 18. In an embodiment, the cut 20 resides close to the middle of the tibial shaft 18. In an embodiment, the cut 20 is made at a site in the region from the medial side to the lateral side. In an embodiment, the cut 20 resides at the medial side of the tibia 10. In an embodiment, the cut 20 resides at the lateral side of the tibia 10.
In an embodiment, a fixation plate 30 can have an elongated shape, and can be attached to the side of the tibia 10 where the osteotomy opening 20 resides, namely the osteotomy side, for fixating the bone portions at both sides of the osteotomy opening 22. The fixation plate 30 can be attached to the tibia 10 with screws, pins, or the like. In an embodiment, the fixation plate 30 is capable of fitting a patient-specific anatomical surface on the osteotomy side.
Referring to
In an embodiment, the shape of the fixation plate 200 looks like a stretched shoe pad with a wide front and a narrow back. The fixation plate 200 can include three portions in an order from the top 301 to the bottom 305: a top-end portion 300a for fixating the portion of the tibia above the surgical cut; a bottom-end portion 300c for fixating the portion of the tibia below the surgical cut; and a connection portion 300b that connects the top-end portion 300a with the bottom-end portion 300c.
The top-end portion 300a has a gradually increasing width toward the top-end 301. The top-end portion 300a can be tilted away from the right side of the connection portion 300b by a degree indicated by an angle θ. In an embodiment, the angle θ is in a range of at or about 0 to at or about 90 degrees. The top-end portion 300a can be offset relative to the right side of the bottom-end portion by distance d. In an embodiment, the distance d is in a range of at or about 0 to at or about 20 mm.
The top-end portion 300a can be capable of fitting the three-dimensional contour of the portion of the tibia above the surgical cut. In an embodiment, the top-end portion 300a is bendable or twistable. In an embodiment, the top-end portion 300a is bent along the approximate line indicated by line b, so that its up-left portion including the edge 302 of the top-end portion 300a is curled or bent out of the plane of the connection portion 300b and the bottom-end portion 300c.
The top-end portion 300a can be provided with a plurality of apertures. In an embodiment, the plurality of apertures can include, but are not limited to, holes. In an embodiment, the holes include through-holes. In an embodiment, the top-end portion 300a has no more than seven through-holes. In an embodiment, the top-end portion 300a has no less than seven through-holes. In an embodiment, the top-end portion 300a has only seven through-holes, including holes 310, 312, 314, 316, 318, 320, and 322. In an embodiment, the seven through-holes are grouped into a first group and a second group. The first group includes the holes 310, 312, 314, 316, 318, and 320, and the second group includes the hole 322. In an embodiment, the first group resides closer to the top-end 301, and the second group resides closer to the connection portion 300b.
The connection portion 300b extends between the top-end portion 300a and the bottom-end portion 300c. In an embodiment, the connection portion 300b extends across the section midway between the top 301 and the bottom 305. In an embodiment, the right side of the connection portion 300b generally has a linear outline. In an embodiment, the right side of the connection portion 300b has a curvilinear profile.
In an embodiment, the connection portion 300b is not provided with a through-hole. In another embodiment, the connection portion 300b is provided with a through-hole.
The bottom-end portion 300c can be strip-shaped. In an embodiment, the left side of the bottom-end portion 300c has a linear outline. In an embodiment, the right side of the bottom-end portion 300c has a linear outline. In an embodiment, the bottom-end portion 300c can have a linear outline at both its left side and right side. The bottom-end 305 is the distal end of the bottom-end portion 300c. In an embodiment, the bottom-end 305 can have a curved profile. In an embodiment, the bottom-end 305 has a semicircular shape.
The bottom-end portion 300c can be provided with a plurality of apertures. In an embodiment, the plurality of apertures includes holes. In an embodiment, the holes include through-holes. In an embodiment, the bottom-end portion 300c has no less than four through-holes. In an embodiment, the bottom end portion 300c has no more than four through-holes. In an embodiment, the bottom-end portion 300c has only four through-holes, including holes 324, 326, 328, and 330.
The holes of the fixation plate 200 can differ in kind, type, and/or shape. The kinds of the holes can include but are not limited to, for example, a screw hole for receiving a screw, pinhole for receiving a guide pin and/or a guidewire, the like, and a combination thereof. The types of holes can include, but are not limited to, for example, threaded hole, non-threaded hole, countersunk hole, counterbored hole, conical hole, truncated conical hole, single hole, Combi hole, oblong hole, the like, and a combination thereof. The shapes of the holes can include, but are not limited to, for example, oblique hole, straight hole, cylindrical hole, elongate hole, circular hole, the like, and a combination thereof.
Referring to
The fixation plate 300 can have a curvilinear profile 308. In an embodiment, the top 301, left side 303, bottom 305, and the right side 307 are provided with a smooth, curved surface 309. In an embodiment, the edges that extend between the top 301 and the left side 303, between the left side 303 and the bottom 305, between the bottom 305 and the right side 307, and between the right side 307 and the top 301 are curved. In an embodiment, these edges are provided with a smooth, curved surface.
Referring to the top-end portion 300a in
It is appreciated that the arrangement of the holes 310, 312, and 314 can adopt other suitable configurations other than the inverted triangle configuration.
Each of the holes 310, 312, and 314 can be configured to various types and shapes suitable for accommodating different types of screws they receive. In an embodiment, one or more of the holes 310, 312, and 314 are conical holes. In an embodiment, one or more of the holes 310, 312, and 314 are countersunk hole. In an embodiment, one or more of the holes 310, 312, and 314 are threaded holes. In an embodiment, one or more of the holes 310, 312, and 314 are oblong holes. In an embodiment, two or more of the holes 310, 312, and 314 are identical to each other. In an embodiment, two or more of the holes 310, 312, and 314 are not identical to each other. In an embodiment, the holes 310 and 312 are identical to each other. In an embodiment, the holes 310, 312, and 314 are identical to each other. In an embodiment, the holes 310, 312, and 314 differ in screw thread, for example, number and type of the thread.
In an embodiment, the holes 316, 318, and 320 can be pinholes for receiving a guidewire and/or a pin. Each of these holes can be disposed between two of the holes 310, 312, and 314. In an embodiment, the holes 310, 316, 312, 318, 314, and 320 are arranged alternately. For example, the hole 316 can be disposed between the holes 310 and 312, the hole 318 can be disposed between the holes 312 and 314, and the hole 320 can be disposed between the holes 314 and 310. In an embodiment, these holes are for temporary k-wire fixation.
The hole 316 can be closer to the top-end 301 than the holes 318 and 320, which forms a triangular configuration. In an embodiment, the hole 316 can reside below the middle of the top-end 301. In an embodiment, the holes 316, 318, and 320 are outside the triangle formed by drawing lines between the centers of the holes 310, 312, and 314.
In an embodiment, each of the holes 310, 312, 314, 316, 318, and 320 can have a circular or oval opening. In an embodiment, one or more of the holes 310, 312, 314, 316, 318, and 320 have circular openings. In an embodiment, one or more of the holes 310, 312, 314, 316, 318, and 320 have an oval opening. In an embodiment, the hole 314 has an oval opening. In an embodiment, each of the holes 316, 318, and 320 has an oval opening. The oval opening allows a screw or guide pin to be inserted at an angle that is not perpendicular to the plate. In an embodiment, the oval opening prevents the inserting screw from penetrating out and reaching the fibula joint. In an embodiment, each of the holes 316, 318, and 320 has a circular opening.
In an embodiment, the hole 322 is a Combi hole. A Combi hole is a combination of two or more overlapping holes. Each of the overlapping holes can be a hole section of the Combi hole. In an embodiment, the hole 322 includes two hole sections 322a and 322b. In an embodiment, the hole section 322b is above the hole section 322a. In an embodiment, the hole section 322b stacks on the top of the hole section 322a. In an embodiment, the orientation of the hole 322 can be indicated by the line X3 formed by connecting the centers of the hole sections 322a and 322b. In an embodiment, the orientation of the hole 322 is along the length direction of the fixation plate 300, as the line X3 is parallel to the length direction indicated by line X1.
In an embodiment, at least one of the hole sections 322a and 322b has a conical frustum shape. In an embodiment, the hole sections 322a and 322b contain a cylindrical portion. In an embodiment, the hole sections 322a and 322b are cylindrical. In an embodiment, the hole sections 322a and 322b have the same radius. In an embodiment, the hole sections 322a and 322b have different radii. In an embodiment, the hole section 322a is smaller in radius than the hole section 322b. In an embodiment, the hole section 322a is larger in radius than the hole section 322b. In an embodiment, the hole sections 322a and 322b of the hole 322 can have a radius in a range of at or about 0.25 mm to at or about 4 mm. In an embodiment, the hole sections 322a and 322b can have a radius of at or about 0.5 mm. It is appreciated that the hole sections 322a and 322b can be configured to any suitable radius for accommodating the screws or pins they receive.
In an embodiment, one of the hole sections 322a and 322b is a threaded hole section, and the other one is a DCP hole section. The DCP hole section does not contain thread and can receive a standard screw, for example, cortex screw. The threaded hole section can receive a locking head screw. In an embodiment, the hole section 322a is a threaded hole, and the hole section 322b is a DCP hole. In an embodiment, the hole section 322a is a DCP hole, and the hole section 322b is a locking screw hole.
The sizes of the holes 310, 312, 314, 316, 318, 320, and 324 can be configured to accommodate the screws or guide pins that they receive. In an embodiment, the holes 310, 312, and 314, which accept screws, generally are larger in dimension than the holes 316, 318, and 320, which accept guide pins or wires.
The sizes of the holes 310, 312, and 314 can be different from or identical to each other. In an embodiment, the sizes of the holes 310, 312, and 314 can be identical to each other and have a diameter of in a range of at or about 1 mm to at or about 8 mm.
The sizes of the holes 316, 318, and 320 can be different from or identical to each other. In an embodiment, the sizes of the holes 316, 318, and 320 are identical to each other and have a radius in a range of at or about 0.5 mm to at or about 4 mm. In an embodiment, each of the holes 316, 318, and 320 are smaller than any of the holes 310, 312, and 314 in dimension or diameter. In an embodiment, the holes 316, 318, and 320 have a dimension or diameter similar or identical to those of the holes 310, 312, and 314.
Referring to the connection portion 300b, the connection portion 300b can have a length in a range of at or about 1 to at or about 50 mm, according to an embodiment. In an embodiment, the lower limit of the range of the length can be at or about 10 mm, at or about 15 mm, at or about 20 mm, at or about 25 mm, at or about 30 mm, or at or about 35 mm. In an embodiment, the upper limit of the range of the length can be at or about 30 mm, at or about 35 mm, at or about 40 mm, at or about 45 mm, or at or about 50 mm. It is appreciated that the above range of the length of the connection portion 300b is exemplary, and the connection portion 300b can adopt any suitable length depending on the specific patient.
Referring to the bottom-end portion 300c, the holes 324, 326, 328, and 330 can be arranged in an order from top to bottom. In an embodiment, the holes 324, 326, 328, and 330 are arranged along the length direction of the fixation plate 300. In an embodiment, the holes 324, 326, 328, 330, and 322 are situated on a line along the length direction but not necessarily through their centers. In an embodiment, the centers of the holes 324, 326, 328, 330, and 322 are not situated on the line. In an embodiment, the centers of the holes 324, 326, 330, and 322 are situated on the line, but the center of the hole 328 is not situated on the line. In an embodiment, the centers of the holes 324, 326, 328, 330, and 322 are situated on the line. In an embodiment, the line is the middle-width line of the bottom-end portion 300c, indicated by the line X3′.
As with the hole 322, the hole 324 can be a Combi hole. In an embodiment, the hole 324 includes two hole sections 324a and 322b. In an embodiment, the hole section 322a is above the hole section 322b. In an embodiment, the hole section 322a stacks on the top of the hole section 322b. In an embodiment, the hole sections 324a and 324b can have the same radius. In an embodiment, the hole sections 324a and 324b can have different radii. In an embodiment, the hole section 324a can have a smaller radius than the hole section 324b. In an embodiment, the hole section 324a can have a larger radius than the hole section 322b. In an embodiment, each of the hole sections 324a and 324b has a radius in a range of at or about 0.25 mm to at or about 4 mm. In an embodiment, the hole sections 324a and 324b can have a radius of at or about 0.5 mm. It is appreciated that the hole sections 324a and 324b can be configured to any suitable radius for accommodating the screws or pins they receive.
In an embodiment, one of the hole sections 324a and 324b is a threaded hole section, and the other is a DCP hole section. In an embodiment, the hole section 324a is a threaded hole section, and the hole section 324b is a DCP hole section.
The holes 322 and 324 are the two holes closest to the connection portion 300b, where the midsection of the fixation plate 300 resides. In an embodiment, the connection portion 300b generally extends over the surgical cut of the tibial osteotomy, and the screws going through the holes 322 and 324 can provide direct fixation force. In an embodiment, the holes 322 and 324 are identical to each other and oriented in a head to head manner so that the compression of the two Combi holes is directed toward the middle of the fixation plate 300. In an embodiment, the hole 324 and the hole 322 relate to each other by a reflection symmetry between the hole 324 and the hole 322. The holes 322 and 324 can provide the flexibility of axial compression and locking capability. In an embodiment, the hole sections 322a and 324a are threaded holes, and the hole sections 322b and 324b are DCP holes.
In an embodiment, the hole section 322a and 324a contain thread where the screw is inserted to hold the fixation plate 300 onto the tibia. After that, a locking screw can be put in each of the hole sections 322b and 324b. In an embodiment, none of the screws at holes 322a/322b and 324a/324b goes in/through the cut 20 shown in
The holes 326 and 330 can be screw holes for receiving screws. The hole 326 can be the same as or different from the hole 330. In an embodiment, each of the holes 326 and 330 can accept only a locking head screw. In an embodiment, the holes 326 and 330 contain no thread and accept standard screws, for example, cortex screws. In an embodiment, the holes 326 and 330 are threaded holes and accept locking head screws. In an embodiment, at least one of the holes 326 and 330 are threaded holes for receiving a locking head screw. In an embodiment, the hole 330 is a threaded hole for accepting a locking head screw. In an embodiment, the hole 330 is not a threaded hole, and the hole 330 accepts a cortex screw. In an embodiment, the hole 326 is a threaded hole for accepting a locking head screw. In an embodiment, the hole 326 is not a threaded hole, and the hole 326 accepts a cortex screw.
The holes 326 and 330 can be conical holes. However, it is understood that the holes 326 and 330 each can independently be configured to the various types and shapes of holes, depending on the screws they accept. In an embodiment, the holes 326 and 330 each can independently be a countersunk hole or counterbored hole. In an embodiment, the holes 326 and 330 each can independently be an oblong hole or a circular hole.
The holes 326 and 330 can be identical to or different from each other in dimension or diameter. In an embodiment, the holes 326 and 330 have a diameter in a range of at or about 3 to at or about 6 mm.
In an embodiment, the holes 326 and 330 can have openings. In an embodiment, the shapes of the openings can include, but are not limited to, circle and oval. In an embodiment, the openings of the holes 326 and 330 each can independently be circular.
The hole 328 can be a pinhole for receiving a guide pin or guidewire. In an embodiment, the hole 328 is smaller than each of the holes 324, 326, and 330 in dimension or diameter. In an embodiment, the dimension or diameter of the hole 328 is similar or identical to those of the holes 324, 326, and 330. In an embodiment, the hole 328 can be a cylindrical hole having a circular opening.
In an embodiment, the holes 326, 330, 310, 312, and 314 are identical to each other and receive the same screws. In an embodiment, the holes 328, 316, 318, and 320 are identical to each other.
The dimension of the fixation plate 300 can be patient-specific. The top-end portion 300a can have a width d1, which is the distance between lines X1 and X2. In an embodiment, the width d1 is in a range of at or about 27.3 mm to at or about 27.7 mm. In an embodiment, the width d1 is at or about 27.5 mm. The hole 322 can be away from line X1 by a distance d2, which is the distance between lines X1 and X3. The line X3 is a line drawn along centers of the hole sections 322a and 322b. In an embodiment, the distance d2 is in a range from at or about 8.75 to at or about 8.9 mm. In an embodiment, the distance d2 is at or about 8.75±0.02 mm. The fixation plate 300 can have a length d3 indicated by the distance between lines X7 and X8. In an embodiment, length d3 is in a range of at or about 90 mm to at or about 250 mm. In an embodiment, the length d3 is in a range of at or about 100 mm to at or about 160 mm. In an embodiment, the length d3 is at or about 111.5±0.5 mm. In an embodiment, the length d3 is at or about 111.5 mm. In an embodiment, the length d3 is at or about 112.8±0.5 mm. In an embodiment, the length d3 is at or about 112.8 mm. It is appreciated that the above values/ranges of the width d1, the distance d2, and the length d3 are exemplary and can be any suitable values/ranges depending on a specific patient.
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Referring to
Referring to
The fixation plate 300 is capable of fitting a surface contour of the tibia where it is attached. In an embodiment, the fixation plate 300 is manufactured to a shape conforming to the contour of the tibia. In an embodiment, the fixation plate 300 is capable of retrofitting the surface contour of the tibia. In an embodiment, the fixation plate 300 is bendable or twistable to fit the surface contour of the tibia where it is attached. In an embodiment, the edge 302 of the top-end portion 300a of the fixation plate 300 is curled or bent out of the plane of the connection portion 300b and the bottom-end portion 300c along, for example, the line b indicated in
In an embodiment, the top-end portion 300a of the fixation plate 300 is curled or bent out the plane of the connection portion 300b and the bottom-end portion 300c, resulting in an angle of θ2 or θ3 relative to the line X. The angle of θ2 indicates that the top-end portion 300a of the fixation plate 300 is curled or bent above the plane of the connection portion 300b and the bottom-end portion 300c, viewed from
Referring to
Referring to
Aspects
Any one of aspects 1-23 is combinable to any one of aspects 24-28.
Aspect 1. A fixation plate for internal fixation of an osteotomy below the tuberosity of a tibia, comprising an elongated body including a top end and a bottom end opposing the top end along the length direction of the elongated body,
Although the embodiments above are related to osteotomy of the tibia, it is understood that that fixation plate can also be used in fixating a fractured tibia. Furthermore, it is understood that the embodiments herein can also be applicable to a long bone other than the tibia with or without significant modification to the embodiments discussed above.
Saw, Khay-Yong, Ng, Reza-Ching-Soong, Jee, Caroline-Siew-Yoke
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Apr 20 2020 | Reza-Ching-Soong, Ng | (assignment on the face of the patent) | / | |||
Apr 20 2020 | Caroline-Siew-Yoke, Jee | (assignment on the face of the patent) | / | |||
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